There are two type of congenital prostatic cyst, the müllerian duct cyst and the utricular cyst. They are not common and rarely symptomatic. We report a 16-year-old male who presented with acute urinary retention and a 3-month history of urine stream diminished in force and reduced sperm volume. Transrectal ultrasonography showed a prostatic cyst in the midline near the seminal colliculus. Transperineal aspiration of the cyst resulted in return to normal miction and sperm volume.
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